The Health Law Offices of Anthony C. Vitale

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Finalized DME rule targets fraud, abuse

The Centers for Medicare and Medicaid Services has finalized a rule that creates a prior authorization process for some durable ...
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AHCA streamlines Medicaid credentialing process

Healthcare providers that do not have a Medicaid provider number, but who are servicing patients through the private insurance industry, ...
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SCOTUS to take on implied certification liability under FCA

The U.S. Supreme Court will decide whether False Claims Act (FCA) cases may be brought by whistleblowers and the government ...
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With the new year comes greater HIPAA oversight

HIPAA-regulated entities can expect 2016 to be the year of increased oversight. That’s when the Health and Human Services Department's ...
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A red heart with the word fraud written on it.

Government cracks down on pharmacies, home health agencies, medical directors for medically unnecessary services

It’s no secret that in recent years the number of healthcare fraud investigations and prosecutions in the U.S. has rocketed. ...
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Doctor, patient frustration over pain med access leads to pharmacy rule change

The Florida Board of Pharmacy recently approved a rule change designed to help patients get the pain medications they need. ...
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Renewed efforts underway to allow ARNPs and PAs to prescribe controlled substances

There’s another effort afoot in Tallahassee to allow Physician Assistants (PA) and Advanced Registered Nurse Practitioners (ARNP) to write prescriptions. ...
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A stethoscope is sitting on top of a stack of money.

Feds to increase exclusion and civil monetary penalty enforcement cases

When it comes to exclusion and civil monetary penalty cases, the federal government is preparing to take an even harder ...
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OIG opinion: Free transportation doesn’t violate anti-kickback statute

The U.S. Department of Health and Human Services Office of Inspector General recently issued an opinion stating that a large ...
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How whistleblowers are helping to fight healthcare fraud

Earlier this month, the Department of Justice announced it had resolved a $237 million judgment against Toumey Healthcare System in ...
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